IndividualActive
Amanda Burgesen
NPI 1568084903 · Certified Registered Nurse Anesthetist · O Fallon, IL
Provider details
- NPI number
- 1568084903
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 041448788 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Phone: (618) 234-2120
Fax: (618) 641-5810
Approximate (ZIP-level) locationGet directions
Mailing address
1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Registry dates
- Enumerated
- 2020-05-07
- Last updated
- 2020-07-07
- Certified
- 2020-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.